Digital Commons Network^™

Integrating Tuberculosis Case Finding And Treatment Into Postnatal Care, Charity Ndwiga, Harriet Birungi, Chi-Chi Undie, Shiphrah Kuria, Joseph Sitienei, Sam Ochola

Reproductive Health

Under the USAID funded FRONTIERS program, the Population Council conducted a study in six health facilities in Western Kenya that demonstrated that screening for TB within an antenatal care (ANC) setting is feasible and acceptable among the service providers. However, a major challenge remains: although TB detection is encouraged among ANC clients within the maternal and child health clinics in the country, providers in these settings fail to appreciate the need for a continuum of care from pregnancy through to the postnatal period. In order to address this gap, the APHIA II Operations Research Project developed and tested an intervention …

Investigating Early Childhood Teachers' Stress And Social Supports: A Multi-Methods Approach, Ashley Diane Romero

LSU Master's Theses

Previous research has indicated that teaching is a high stress profession and that social supports may help to mediate teacher job stress. Ecological maps have been used in both research and other fields in order to study individuals’ social networks. Using a sample of ten Pre-K teachers, this study aims to answers two questions of inquiry: 1) Is the amount of reported social supports for Pre-K teachers negatively associated with reported stress?, and 2) What information does the eco-map interview give us about teacher’s social supports and stress? A multi-methods approach of both qualitative and quantitative techniques was used in …

The Second-Generation Effects Of Microcredit In Western Guatemala, Jordyn Elizabeth Haught

Open Access Theses & Dissertations

Most microfinance institutions have assumed that positive second-generation effects follow involvement in microcredit, but the nature of these effects has been unclear since few scholars have directly focused their attention on them. To address this gap in the literature I conducted exploratory survey research in Western Guatemala in January 2011. I returned with 97 interviews conducted with 68 Guatemalans who had received a microloan at some point in their lives, and 29 who had never received a formal loan. In the sample of their 306 children, the parents of 94 had never received a loan, while the parents of 212 …

Segundo Barrio: Rich, Poor, Or Both?, Julie Anne Krill

Open Access Theses & Dissertations

ABSTRACT

This manuscript describes an exploratory study which was undertaken in Segundo Barrio; a historic neighborhood in El Paso, Texas. The purpose of the study was to identify formal and informal sources of social support through the perceptions of female residents in different stages of life. This community, while economically disadvantaged, has unique characteristics and resources and the researcher was interested in seeing how different age groups perceive them.

Guiding Research Questions:

What sources of social support do residents of Segundo Barrio identify as key sources of support within their neighborhood, Greater El Paso, and Ciudad Juarez, Chihuahua?

* Social …

Perceptions Of Disabilities Amongst The Tarahumara In Northern Mexico, Carolyn Raynor Trussell

Open Access Theses & Dissertations

This research focuses on the perceptions of disability amongst the Tarahumara, known amongst themselves as the Rarámuri, in the Sierra Madre region of Northern Chihuahua. This population of individuals has typically lived in isolated areas in communities in the Sierra Madre where medical and specialized educational services were rare. The purpose of this study was to explore the perceptions, knowledge and beliefs related to disabilities, as well as the access and beliefs related to educational and medical services.

The study focused on the individual and the society to examine how bodily conceptions influence perceptions of others. The target group for …

First Elderly Client In Therapy: Factors That Influence Student Interest In Geropsychology, Cristina E. M. Filippelli

Antioch University Dissertations & Theses

In the coming decades, the elderly population in United States (U.S) is expected to grow significantly (U.S. Bureau of the Census, 1996). Consequently, the number of older individuals seeking mental health services will be greater than at any other time in the history of the U.S. The field of clinical psychology, however, is unable to meet the mental health needs of the current elderly population, and this gap is expected to widen in coming years. There is an ongoing discussion within the field of professional psychology as to how to train more clinicians to work with the elderly population (Gatz …

Towards A Cleaner Singapore: Sociological Study On Littering In Singapore, Paulin Tay Straughan, Narayanan Ganapathy, Daniel Goh, Everold Hosein

Research Collection School of Social Sciences

Keeping Singapore clean has always been the priority of the National Environment Agency (NEA). We have made much progress over the years, but as Singapore's population grows amid changing demographics, littering remains a concern.

Between "Voluntary Migrants" And War Refugees: The Health Of The Shan Burmese Migrant Workers In Northern Thailand, Nishant Verma, Celina Su, Coralie Chan, Peter Muennig

Publications and Research

The Shan are a large migrant group from Burma (Myanmar) found within Thailand. While some Shan migrate to escape the civil war within Burma, others migrate for economic opportunity. Despite the size of this population, little is known about their health. Our study highlights the need for expanded access to primary care among this Shan population. Despite the arduous and trying journeys of these Shan migrants, they do not display the level of health sometimes attributed to health selection among immigrant groups.

Determinants Of Health Of Migrant Farm Workers In Canada, Janet Mclaughlin

International Migration Research Centre

Despite wide indications that migrant farm workers (MFWs) comprise a particularly vulnerable subset of the temporary foreign worker population, relatively little attention has been paid to their health issues. This article describes major health concerns among MFWs in Canada, reviews the social determinants of health of particular importance to this population, and notes research and policy implications. Findings are drawn primarily from two recent literature reviews conducted for the Public Health Agency of Canada.

Issue 01: Backgrounder On Health And Safety For Migrant Farmworkers In Canada, Janet Mclaughlin, Jenna Hennebry

International Migration Research Centre

Annually, approximately 30,000 migrant farmworkers come to work across Canada from countries such as Mexico, Jamaica, Guatemala, the Philippines and Thailand through Canada’s Seasonal Agricultural Workers Program (SAWP) and the Pilot Project for Occupations Requiring Lower Levels of Formal Training (NOC C and D). Their health and safety has long been a neglected area of research, but several recent studies have now shed light on some important issues of concern. Despite these studies’ diverse contexts (Ontario and British Columbia) and methods (quantitative questionnaires and qualitative ethnography) the similar findings in each study demonstrate consistent patterns. The purpose of this backgrounder …

Women As Subject And Audience In World War Ii Venereal Disease Posters, Kyra Whitton

Dissertations, Theses and Capstone Projects (Full IR Collection)

Internationally, venereal disease first became a major health concern during World War I. Venereal diseases were some of the most common infections and led to more hospitalizations among soldiers than wounds or battle-related illness. The Selective Service discovered that almost fifteen percent of those who were eligible for the draft were already infected with a venereal disease, sparking an intense anti-venereal disease campaign across America. Red-light districts were shut down, and American cities sought new laws that would criminalize prostitution to protect young men from contracting a venereal infection.

Though venereal disease rates were still high during World War II, …

Effects Of Acculturation On Hiv/Aids Sexual Risk Behaviors Among Asian And Pacific Islander (Api) Women, Margaret Cabotage Salud

Loma Linda University Electronic Theses, Dissertations & Projects

Background. In the US women are the fastest growing group for sexually transmitted infections (STIs), including HIV and AIDS. In addition, the estimated AIDS cases among female adults and adolescents, aged 13-19, increased from 7% in 1985 to approximately 26% in 2002. Most infections occur by heterosexual transmission with 53% occurring through contact with a high-risk sexual partner. While overall HIV/AIDS rates in the Asian Pacific Islander (API) community remain low, they are rising and HIV testing rates, one of the major prevention strategies for HIV, are lower than that of other populations. Furthermore, very little is known about APIs …

The Relationship Between Knowledge And Beliefs About Human Papillomavirus, Acceptance Of The Human Papillomavirus Vaccine, And Intentions To Practice Safer Sex Behaviors Among Female College Students, Theresa Scorcia-Wilson

USF Tampa Graduate Theses and Dissertations

Introduction. Sexually transmitted infections (STIs) continue to be highly prevalent among young women, and STIs continue to be a challenging health issue on college campuses. Studies have shown that the highest prevalence of human papillomavirus (HPV) is among young adult women, ages 20 to 24, including female college students. While the HPV vaccine has proven to be highly effective in preventing certain high-risk types of HPV, it is not effective in preventing all types of HPV or other STIs. Practicing other safer sex behaviors, in addition to condom use, also can help individuals protect themselves and their partners from …

“Mieux Vaut Prévenir Que Guérir”: The Effect Of Natural Disasters On Water- And Sanitation-Related Infectious Diseases And The Increasing Need For Disaster Preparedness, Naomi Malam

Independent Study Project (ISP) Collection

The world is suffering from an extreme global water crisis. 1.1 billion people in the world lack access to adequate clean water, and 2.6 billion people lack access to water and sanitation. Approximately 10 million deaths per year can be attributed to this water crisis; water-borne infectious diseases play a significant role in this death toll. Diarrhoeal disease accounts for 2.6 million deaths per year and is one of the leading causes of death in many developing countries.

We are entering a period of undeniable climate change which is bringing about more natural disasters and extreme weather events than ever …

Life On The Periphery: The Effects Of Urbanization On Health In A Bidonville In Bamako, Mali, Adrienne Epstein Dit Raki Bah

Independent Study Project (ISP) Collection

In the past decade, the world has crossed a threshold that a century ago would have seemed unimaginable: the majority of the global population now lives in cities.A startling pattern of rapid urbanization began in the final decades of the 20th century and continues today at a striking pace. The percentage of the global population residing in urban areas increased from 32 percent in 1955 to 47 percent in 2002, and is expected to reach 65 percent in 2015. This trend is particularly notable in the developing world, where an arrival of rural migrants in search of labor has caused …

Does Gender Still Matter?: Women Physicians’ Self-Reported Medical Education Experiences, Katherine M. Butler, Julia Mason

Student Summer Scholars Manuscripts

Objective: This study aims to provide a rich analysis of particular women’s medical education experiences.

Design: One-on-one interviews and self-administered questionnaires Participants: 25 practicing women physicians who had graduated from U.S. medical schools.

Results: The author identified the following themes: 1) societal gender role assumptions significantly impact women physicians’ experiences as medical students, in practice, and as primary care givers. 2) Marginalities in women’s health education exist in all levels of medical training. Curriculum specific to reproductive and psychiatric women’s health impacts physicians’ preparedness for treating female patients. 3) Physicians reported the existence of medical hierarchy during training and in …

"We're Locking The Door": Family Histories In A Sample Of Homeless Youth, Shahid Alvi, Hannah Scott, Wendy Stanyon

The Qualitative Report

It is well known that the pathways to homelessness for young people are embedded in often ongoing negative childhood experiences. Many of these experiences are rooted in multiple and intersecting problems including, but not limited to: family conflict, abuse, addictions, and mental health issues. The authors draw upon qualitative interviews conducted with 15 homeless male and female youth between the ages of 16 and 24 in a suburban area of Southern Ontario, Canada. We describe these young people's perceptions of family experiences and find support for Elliott Currie's (2004) proposition that a broader ethos of individualism and intolerant parenting underpins …

The Role Of Unrealistic Optimism In Explaining Preventive Behaviors In High Versus Low Endemic Malaria Settings In Belize, Daniel G. Handysides

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Of all the diseases an individual can encounter in the world, malaria is one of the most destructive. Simple measures like sleeping under a bednet would greatly reduce the burden (Abeku, 2007). When people estimate their risk relative to others, they are most often unrealistically optimistic, which may explain why those at risk often fail to perform behaviors, such as using a bednet that will reduce their risk. However, one study showed that people at high risk for malaria held pessimistic perceptions of their risk for the disease, but the reasons for this finding are unclear (Morrison, Ager, & …

The Relationship Between Breastfeeding And Child Care For Working Mothers In The United States, Patricia Wonch Hill

Department of Sociology: Dissertations, Theses, and Student Research

Whether or not child care provider characteristics and factors related to the care giving environment impact breastfeeding duration for working mothers has not been systematically studied. In this dissertation, I use Ecological Health Promotion Theory to explore the relationship between child care and breastfeeding through three different analyses. First, I interviewed nine child care providers to assess their knowledge, attitudes and beliefs about infant feeding and whether they vary on these factors across individuals and child care licensing types. Second, I conducted a small mail survey of 93 licensed child care providers in order to create a scale measuring attitudes …

Humor As A Moderating Variable Of The Relationship Between Family Conflict And Self-Regulation In Children: A Two-Year Panel Study, Kristiane Madsen

Theses and Dissertations

Conflict is a common problem among families, and children may be negatively affected by this family dynamic. Some family characteristics may protect children from negative effects, even in the midst of conflict. Though little research has been conducted addressing familial effects of humor, the current longitudinal study examined the moderating effect of humor on the relationship between family conflict and child self regulation. Two hundred ninety six two-parent families from the Seattle area were surveyed and observed as a party of Brigham Young University's Flourishing Family Project. Family conflict and coded humor from an observation task were assessed at time …

A Multi-Disciplinary Overview Of Chagas In Periurban Peru, Sarah Mccune, Angela M. Bayer, Gabrielle C. Hunter, Natalie M. Bowman, Juan G. Cornejo Del Carpio, Cesar Naquira, Robert H. Gilman, Caryn Bern, Michael Z. Levy

Journal of International and Global Studies

There are between 8 and 11 million cases of America Human Trypanosomiasis, commonly known as Chagas disease, in Latin America. Chagas is endemic in southern Peru, especially the Arequipa region, where it has expanded from poor, rural areas to periurban communities. This paper summarizes the findings of four studies in periurban Arequipa: on determinants of disease-vector infestation; on prevalence, spatial patterns, and risk factors of Chagas; on links between migration, settlement patterns, and disease-vector infestation; and on the relationship between discordant test results and spatially clustered transmission hotspots. These studies identified two risk factors associated with the disease: population dynamics …

“It’S A White People Thing”: The Experience Of Negotiating Sexual And Cultural Identity For Young-Adults In Durban, Erin Schaff

Independent Study Project (ISP) Collection

The creation of the post-apartheid government founded itself on the principles of equality for all people as laid out in the Constitution. However, while discrimination against people based on sexual orientation is illegal, homosexuals still experience a lack of acceptance in mainstream South African society. The purpose of this study is to understand the experience of Zulu and other black and coloured young-adult lesbian, gay, and bisexual (lgb ) peoples living in Durban, South Africa. I looked at how these people have developed their identities and what challenges and surprising joys they have found in their lives in relation to …

Conceptions Regarding Children’S Health: An Examination Of Ethnotheories In A Sending And Receiving Community, Maria Rosario De Guzman, Jennifer Deleon, Gloria Gonzalez-Kruger, Rodrigo Cantarero

Department of Child, Youth, and Family Studies: Faculty Publications

Ethnotheories are beliefs that adults hold about children and the factors that impact upon their development. Scholars suggest that “ethnotheories” serve as cultural models that underlie motivations for parenting practices and the way adults organize children’s early experiences. This study examines Mexican adults’ ethnotheories about children’s health in two communities that are linked by transnational migrants and serve as sending and receiving communities for workers. Forty-four Mexican adults in six focus groups discussed well-being issues affecting children in their communities. Qualitative analyses using grounded theory revealed a complex conception of children’s health issues that included physical, psychological, and behavioral components …

Population, Sex Ratios And Development In Greenland, Lawrence C. Hamilton, Rasmos Ole Rasmussen

Sociology

Abstract

During the 20th century, Greenland society experienced a dramatic transformation from scattered settlements based on hunting, with mostly turf dwellings, to an urbanizing post-industrial economy. This transformation compressed socioeconomic development that took centuries to millennia elsewhere into a few generations. The incomplete demographic transition that accompanied this development broadly followed the classical pattern, but with distinctive variations relating to Greenland's Arctic environment, sparse population, and historical interactions between two cultures: an indigenous Inuit majority and an influential Danish minority. One heritage from Danish colonial administration, and continued more recently under Greenland Home Rule, has been the maintenance of population …

Indigenous Health – Australia, Canada, New Zealand And The United States - Laying Claim To A Future That Embraces Health For Us All., Lisa Jackson Pulver, Melissa R. Haswell, Ian Ring, John Waldon, Wayne Clark, Valorie Whetung, Dianne Kinnon, Catherine Graham, Michelle Chino, Jonathon Lavalley, Christina Compher, Ritu Sadana

School of Public Health Faculty Research

Improving the health of all peoples has been a call across the globe for many decades and unfortunately remains relevant today, particularly given the large disparities in health status of peoples found around the world. Rather than differences in health, or health inequalities, we use a different term, health inequities. This is so as mere differences in health (or "inequalities") can be common in societies and do not necessarily reflect unfair social policies or practices. For example, natural ageing implies older people are more prone to illness. Yet, when differences are systematic, socially produced and unfair, these are considered health …

No. 53: Migration-Induced Hiv And Aids In Rural Mozambique And Swaziland, Jonathan Crush, Inês Raimundo, Hamilton Simelane, Bonaventura Cau, David Dorey

Southern African Migration Programme

South Africa’s gold mining workforce has the highest prevalence rates of tuberculosis and HIV infection of any industrial sector in the country. The contract migrant labour system, which has long outlived apartheid, is responsible for this unacceptable situation. The spread of HIV to rural communities in Southern Africa is not well understood. The accepted wisdom is that migrants leave for the mines, engage in high-risk behaviour, contract the virus and return to infect their rural partners. This model fails to deal with the phenomenon of rural-rural transmission and cases of HIV discordance (when the female migrant is infected and the …

Looking Back, Moving Forward: Access To Antiretroviral Therapy For Hiv Infected Adults And Children In Developing Countries: Horizons Studies, 2002 To 2008, Avina Sarna, Scott E. Kellerman

HIV and AIDS

In 1997, the Population Council initiated the Horizons Program—a decade-long USAID-funded collaboration with the International Center for Research on Women, the International HIV/AIDS Alliance, PATH, Tulane University, Family Health International, and Johns Hopkins University—designing, implementing, evaluating, and expanding innovative strategies for HIV prevention and care. Horizons developed and tested ways to optimize HIV prevention, care, and treatment programs; worked to reduce stigma and improve gender-biased behaviors; and greatly expanded knowledge about the best ways to support, protect, and treat children affected by HIV and AIDS. In all its projects, Horizons strengthened the capacity of local institutions by providing support and …

Imprisonment And (Inequality In) Population Health, Christopher Wildeman

University of Kentucky Center for Poverty Research Discussion Paper Series

This article extends research on the consequences of mass imprisonment and the factors shaping population health and health inequities by considering the effects of the imprisonment rate on population health and black-white inequality in population health using state-level panel data from the United States (1980-2004). My results imply that increases in the imprisonment rate harm population health, though the effects on the infant mortality rate and female life expectancy are more consistent than are the effects on male life expectancy. My results also imply that these health effects are concentrated among blacks, implicating mass imprisonment in the persistence of black-white …

Introducing And Pilot-Testing The National Guidelines On Integrating The Management Of Stis/Rtis Into Reproductive Health Settings In Kenya, Wilson Liambila, Saiqa Mullick, Ian Askew, Nathalie Broutet, Bartilol Kigen, Cosmas Mutunga, Daniel Sande, Nimrod Garama, Benjamin Tsofa, Christine Awuor, Ibrahim Mohammed

Reproductive Health

This report evaluated a project in ten Kenyan health facilities. It examined the feasibility, acceptability and effect of introducing reproductive tract infection and sexually transmitted infection (RTI/STI) guidelines on the quality of care provided, and the incremental costs of integrating these services into existing reproductive health (RH) services; it also disseminated the results and lessons learnt within Kenya. Overall, the results showed that integration of activities to screen for and manage STIs/RTIs into RH services is feasible, acceptable to clients and providers, and effective in improving the range and quality of services offered to clients.

An Examination Of The Relationship Between Family And U.S. Latinos’ Physical Health, Georgiana Bostean

Sociology Faculty Articles and Research

Latinos, especially immigrant Latinos, have lower mortality rates and some better health outcomes than U.S.-born Latinos and whites, a situation called the Latino Paradox. One explanation for the advantage is that Latinos’ family orientation protects health. However, because few large-scale studies examine Latinos’ family relationships by nativity, the extent to which family factors contribute to Latinos’ health outcomes is unclear. Additionally, while a large literature focuses on family cohesion, fewer studies address both cohesion and conflict, which may be particularly important among immigrants, whose migration and adaptation experiences can strain family relations. This study examines the relationship between family context …